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JENNIE EDMUNDSON MEMORIAL HOSPITAL NPI 1942251269


NPI Information

NPI: 1942251269
Provider Name: JENNIE EDMUNDSON MEMORIAL HOSPITAL

Doing Business As: JE PROFESSIONAL SERVICES

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
933 E PIERCE ST
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 396-6000
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JENNIE EDMUNDSON MEMORIAL HOSPITAL is an emergency medicine in Council Bluffs, IA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. JENNIE EDMUNDSON MEMORIAL HOSPITAL NPI is 1942251269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Je Professional Services.

The provider's business location address is:

933 E PIERCE ST
COUNCIL BLUFFS, IA
ZIP 51503-626
Phone: (712) 396-6000
Fax: (712) 396-6288

The provider's authorized official is Steven Baumert .
The authorized official title is President & Chief Executive Officer and has the following contact phone number (712) 396-6064.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 11/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2133V00000XDietitian, RegisteredNo
3207P00000XEmergency MedicineYes
4207Q00000XFamily MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207X00000XOrthopaedic SurgeryNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8208C00000XColon & Rectal SurgeryNo
9363A00000XPhysician AssistantNo
10363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CV0019OTHERIOWARAILROAD
210025220600MEDICAIDNEBRASKA
3088716MEDICAIDIOWA
408871OTHERIOWAWELLMARK
510025873100MEDICAIDNEBRASKA
610025857700MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.